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Small Mammal Information Form
Please complete the form below to submit the Small Mammal Information Form online. You can also click the button below to download and print the form.
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Owner’s Name
*
First
Last
Email
*
Patient name
*
Species
*
Where did you get them (breeder, stray, shelter, etc.)?
*
How long have you had them?
*
Is this your first time adopting this species?
*
Does your animal spend time in a cage?
Yes
No
What is it made of?
How large is it (dimensions)?
What sort of material is at the bottom (CareFresh, pine/cedar shavings, etc.)?
*
What other items are in the enclosure/your animal has access to?
*
How often is the enclosure cleaned?
*
What type of cleaner do you use?
*
Do you use a water bottle or water bowl?
*
What food(s)are you offering?
*
Food brand(s)
*
Food quantity
*
How often?
*
If you offer vegetables, what specific vegetables are fed most often?
Are there any other pets in your family? (Please List)
If yes, do they interact with one another? How often?
*
Has your animal ever been seen by a veterinarian before?
*
Yes
No
If yes, what hospital?
*
If yes, why were they seen?
*
Do they have any current or previous medical conditions you are aware of?
*
Is your animal on any medications or supplements?
*
Any other information we should know about
*
Submit